title: Can VISION 2020 be implemented in rural government settings? Findings from two programmes in Tanzania.
abstract: OBJECTIVE
  To generate information on essential components and the cost recovery potential of VISION 2020 programmes in rural Africa.
  
  
  METHODS
  We took a structured approach to planning, training, implementation and supervision of programmes in Singida and Mara regions, Tanzania involving both government and non-government partners. Extensive mentoring was provided to monitor activities and costs.
  
  
  RESULTS
  Annual numbers of patients receiving eye care increased sevenfold, cataract surgeries by a factor of 2.6 and spectacles dispensed by a factor of 16. Running costs were shared; the government provided 40-60%, non-government organisations (NGOs) 25-45%, and patient fees 15%.
  
  
  CONCLUSIONS
  Comprehensive eye care can be delivered with cooperation among partners. However, continued coordination and cooperation from government and NGOs are critical to reach VISION 2020 goals.
authors.affiliation: Kilimanjaro Centre for Community Ophthalmology, Good Samaritan Foundation, Moshi, Tanzania.
authors.forename: Edson
authors.initials: E
authors.lastname: Eliah
authors.forename: Andrew
authors.initials: A
authors.lastname: Shayo
authors.forename: Charles
authors.initials: C
authors.lastname: Gendo
authors.forename: Paul
authors.initials: P
authors.lastname: Courtright
authors.forename: Manisha
authors.initials: M
authors.lastname: Theraney
authors.forename: Susan
authors.initials: S
authors.lastname: Lewallen
mesh_terms: D002387:Cataract Extraction / Q000191:economics / Q000706:statistics & numerical data; D003153:Community Health Services / Q000458:organization & administration; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D005260:Female; D006078:Government Programs / Q000458:organization & administration*; D006285:Health Planning / Q000458:organization & administration; D006801:Humans; D008297:Male; D009885:Ophthalmology / Q000191:economics; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration* / Q000592:standards; D013636:Tanzania